Provider Demographics
NPI:1598864308
Name:ESCHMEYER, KEVIN N (DMD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:N
Last Name:ESCHMEYER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 WEHRLI RD
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-9317
Mailing Address - Country:US
Mailing Address - Phone:630-369-9559
Mailing Address - Fax:
Practice Address - Street 1:1825 WEHRLI RD
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-9317
Practice Address - Country:US
Practice Address - Phone:630-369-9559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice